Iesha Marlena Tucker, NP is a medicare enrolled "Nurse Practitioner - Family" in Rocky Top, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastlake Medical, Llc, Fast Pace Medical Clinic Pllc and her current practice location is
510 N Main St, Rocky Top, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 205-9582.
Iesha Marlena Tucker is licensed to practice in Tennessee (license number 27010) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023649662.
Provider's Profile
Full Name | Iesha Marlena Tucker |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 510 N Main St, Rocky Top, Tennessee |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Iesha Marlena Tucker graduated from nursing school in 2019
NPI Data:
- NPI Number: 1023649662
- Provider Enumeration Date: 02/03/2020
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123430071
- Enrollment ID: I20201217000448
Medical Identifiers
Medical identifiers for Iesha Marlena Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023649662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 27010 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Eastlake Medical, Llc | 6901174788 | 6 |
Fast Pace Medical Clinic Pllc | 5395881841 | 510 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Iesha Marlena Tucker allows following entities to bill medicare on her behalf.
Entity Name | Fast Pace Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
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Entity Name | Eastlake Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467992446 PECOS PAC ID: 6901174788 Enrollment ID: O20170620001620 |
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Entity Name | Eastlake Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972043214 PECOS PAC ID: 1254752371 Enrollment ID: O20200528000649 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iesha Marlena Tucker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Iesha Marlena Tucker, NP 2205 Jacksboro Pike, La Follette, TN 37766-2904 Ph: (423) 352-6500 | Iesha Marlena Tucker, NP 510 N Main St, Rocky Top, TN 37769-2818 Ph: (865) 205-9582 |
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